Feeling like I'm slipping

[starbabe]

I starting to feel like a bad CNA again. I work with little children think 6 months to 4 yrs right now. I have anywhere from 4 to 6 patents on any given night I work 3rd shift. I'm the only CNA on nights with 2 to 3 nurses depending on the night. every 2 hrs I turn the patients, check diapers and put braces on and change pulse ox sites I also do the laundry, take the trash out and clean the rooms and bathroom in patents rooms. I do the vitals when I first arrive. I love my job but lately I been forgetting things. I forgot to check a diaper at 2 am on one patient one time the nurse went in after me and told me about it later. another night I was changing the diaper of another patent when he starts peeing so I quickly get the diaper over the patient so the urine ( we weigh diapers here) doesn't get everywhere but too late its already on the sheets usually there is a pad under them we can change out instead of the bed sheet but not tonight 2nd shift didn't put one down. so I finish the diaper change ask the nurse to hold to patient while I change the sheet because the nurse isn't doing anything else at the time. she tells me to get the scale to weigh the patient so we can get it out of the way. normally I would have just changed the pad myself but a complete sheet change is difficult with this patient with one person. after we weigh all the rest of the kids. one is at shift change. I forgot to document the weight of one of the kids as I'm driving home this realization hits me like a bag of bricks. as soon as I'm home I call the charge nurse phone and I own up to this luckily I had the weight writen down in my pocket so I tell her the weight and she puts it in. this is the first time I have ever forgotten to document so I feel guilty. normally I am so on top of everything now it feels like I'm slipping down the slide I just climbed up. I'm trying to get back on top of things again. I think it helps to type it out here. any feedback is nice though.

[caliotter3]

Perhaps a day off with a long sleep session is in order? Don’t get concerned unless you can’t break out of this. Slow down a little and ask yourself if you have followed up on everything every so often.

[bitter_betsy, BSN]

Can you make a brain sheet for your patients with all the things you need to check/do for each shift? And can you check things at the beginning of each shift (like the pads) to note what you need to do? Maybe check each room to see what you need / is missing and document on your brain and then gather supplies and go back and do? Maybe its easier to do all of 1 thing for all patients and then do all the next thing? I know especially at night you want to cluster care so as not to disturb the little peeps.

Maybe just sit down and think about all your tasks logically (without being emotionally involved at work by this patient needs this and this patient needs that) and figure out the best way to tackle them. Then have a nice hot bath and a cup of tea with some ice cream ?

[starbabe]

thank you for the advice I'm getting back to my normal superstar self I was just having an off night that night.